School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Am J Infect Control. 2011 Nov;39(9):738-45. doi: 10.1016/j.ajic.2010.12.004. Epub 2011 Jun 22.
Reengineered sharp safety devices have been recommended to reduce occupational percutaneous injury risk in health care facilities. We conducted this study just over 1 year after passage of legislation requiring the use of sharp safety medical devices to assess the frequency of safety and conventional sharp device use and whether safety features were being activated to cover sharp points after safety devices were used and before disposal.
Approximately equal numbers of sharps disposal containers from various wards in 6 nonprofit adult and pediatric British Columbia hospitals were audited by paired research assistants, wearing protective clothing.
In the 699 audited sharps containers, 7% (1,690/25,910) of all devices were conventional devices, specifically 2% (96/4,702) of all phlebotomy devices, 7% (1,240/17,705) of all syringes, and 10% (354/3,503) of all intravenous catheters. In addition, 94% (4,344/4,602) of all safety phlebotomy devices, 95% (2,955/3,119) of all safety intravenous devices, and 80% (13,050/16,420) of all safety syringes had been activated before disposal.
More than 1 year after legislation was passed mandating the use of sharp safety devices in British Columbia hospitals, the risk from sharps remains excessive because of the ongoing use of conventional sharp devices and nonactivation of safety devices.
为了降低医疗机构职业性经皮损伤的风险，已推荐使用改良的安全锐器。在通过立法要求使用安全锐器装置 1 年多后，我们开展了这项研究，评估安全和常规锐器装置的使用频率，以及在使用安全装置后和丢弃前是否激活安全装置来覆盖锐器点。
6 家不列颠哥伦比亚省非营利成人和儿科医院的各病房使用配对研究助理、穿着防护服来审核大约数量相等的锐器处理容器。
在 699 个审核的锐器容器中，7%（1690/25910）的所有装置为常规装置，特别是 2%（96/4702）的所有采血装置、7%（1240/17705）的所有注射器和 10%（354/3503）的所有静脉导管。此外，94%（4344/4602）的所有安全采血装置、95%（2955/3119）的所有安全静脉装置和 80%（13/16420）的所有安全注射器在丢弃前已被激活。
在不列颠哥伦比亚省医院通过立法要求使用安全锐器装置 1 年多后，锐器造成的风险仍然过高，因为仍在继续使用常规锐器装置且安全装置未被激活。
